MEDICARE: USA MEDICAL SUPPLY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	82-00264	OTHER	TX	UHC TEXAS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	52779151	OTHER	GA	BCBS OF GA
5	074Q2US	OTHER	MN	BCBS OF MINNESOTA
6	A0000	OTHER	FL	BCBS OF FLORIDA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477552214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	3316 PERKINS RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3814
Country	:	US
Telephone Number	:	706-798-7950
Fax Number	:	706-798-7656

Provider Business Practice Location Address
First Line	:	3316 PERKINS RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3814
Country	:	US
Telephone Number	:	706-798-7950
Fax Number	:	706-798-7656

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WALLACE B CASSELS
Credential	:
Telephone Number	:	706-798-7950

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	08/22/2020

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Directions to “USA MEDICAL SUPPLY, INC ” Practice Location

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